LAFAYETTE DIAGNOSTICS, INC.


Address: 1019 Kaliste Saloom Rd, Suite # 711, Lafayette, LA 70508-4935
Phone: 3372144399

LAFAYETTE DIAGNOSTICS, INC. (NPI# 1942539044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942539044
Entity Type Organization
Organization Name LAFAYETTE DIAGNOSTICS, INC.
Practice Address 1019 Kaliste Saloom Rd
Suite # 711
Lafayette
LA 70508-4935
Mailing Address 12550 Whittington Dr
Suite # 804
Houston
TX 77077-4800
Practice Telephone 3372144399
Mailing Telephone 3372144199
Enumeration Date 2009-12-18
Last Update Date 2010-01-08
Authorized Official Name MR. YERBOL KOSHIMBAYEV (PRESIDENT)
Authorized Official Telephone 9853816758
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Office Location

Street Address 1019 KALISTE SALOOM RD
SUITE # 711
City LAFAYETTE
State LA
Zip Code 70508-4935

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City LAFAYETTE
Zip Code 70508

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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